Dr Danielle Jacks, MD | |
520 Medical Center Dr Ste 201, Medford, OR 97504-4334 | |
(541) 789-5710 | |
(541) 789-5711 |
Full Name | Dr Danielle Jacks |
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Gender | Female |
Speciality | Surgery |
Location | 520 Medical Center Dr Ste 201, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730597147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 312129 (Louisiana) | Primary |
Entity Name | Asante Physician Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
Mailing Address | Practice Location Address |
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Dr Danielle Jacks, MD 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 Ph: () - | Dr Danielle Jacks, MD 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 Ph: (541) 789-5710 |
Erika Margaret Bennett, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Dr. Mark Adalbert Eaton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-282-6559 Fax: 541-282-6710 | |
Patrick Joseph Phelan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Sandeep Singh Jhajj, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 940 Royal Ave Unit 100, Medford, OR 97504 Phone: 541-732-8388 | |
Wie-peng Kuo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504 Phone: 541-732-7874 Fax: 541-732-7875 | |
Dr. David Lee Street, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-282-6559 Fax: 541-282-6710 | |
Dr. Mark C Mason, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504 Phone: 541-732-7874 Fax: 541-732-7875 |